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20

Doctor insights on:
Acne Solution

1

Benzoyl & acne scar:
No - benzoyl peroxide will treat acne and help prevent worsening pustules and inflammation by helping to kill the bacteria causing acne. However, it won't have any effect on the scars you may get from aggressively picking or popping "zits" There are facial scrubs that may lessen the appearance of scars but a physician trained in skin peels would be needed for deep scars
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3

More acne:
Clindoxyl gel is a mixture of benzoyle peroxide and clindamycin. These are two very common topical treatments for acne. They work better on the "pimple" type of lesions. Not the best treatment for blackheads. Medicines like retin a (tretinoin) cream are better for blackheads.
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5

Meds:
Many patients do well with over the counter benzoyl peroxide or salicylic acid preparations. Some patients require topical or oral antibiotics or retinoids as well. If the over the counter meds alone don't control your acne after a month of daily use, see a doctor for additional treatment options. It is important to be persistent, and some patients 'get worse before they get better'.
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8

No:
It's okay for keeping the acute lesions under control. I'm sorry you didn't get proper treatment when you developed your scarring. A dermatologist can make them less visible if you wish.
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9

Yes & No:
There are two types of acne scars. Craters and ice-pick. The ice-pick scar has sharp borders whereas the crater has smoother borders. Ice-pick variety of scars have to be excised and can be done quite easily with small punch biopsies. The crater variety can be helped with multiple sessions of microdermabrasion.
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11

Fading creams:
The gold standard for lightening dark marks is hydroquinone. You can purchase fading creams that contain 2-3% hydroquinone without a prescription (ambi, atra, porcelana, nadinola, to name a few). You should also be careful to protect your skin with sunscreen, as sun will make dark marks darker. Stronger prescription fading creams and chemical peels exist. Pitted scars require laser resurfacing.
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13

Get a real Rx:
That stuff is weak and overpriced. If you have gotten scars, you should already be on prescription meds. I am sorry this happened and you need to get with your personal physician.
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14

It can exacerbate sx:
It is possible that topic treatment can exacerbate sx. Cleaning up your diet, removing junk and fatty foods, increase water intake, and adding probiotics as well as cleaning up any stool pbms . Rosacea is actually caused by a little bug and requires specif treatment, dermatology consult indicated.
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15

Acne Scars:
There are different treatments for acne scars depending on severity and cost considerations. Treatments include but are not limited to mechanical dermabrasion, laser resurfacing, and surgical scar revision. The treatment program and costs vary with the extent of the scarring and number of treatments required. See a dermatologist or plastic surgeon to check out your options.
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16

No. But it can help:
Reduce acne breakouts and more cyst formation that can lead to new scars. Accutane is powerful medicine that requires monitoring and absolute avoidance of pregnancy (causes birth defects). See dermatologist for advice and prescription if you are a candidate.
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17

Usually not:
Micro-dermabrasion is best suited for removal of dead cells from the skin surface. Does not go deep enough to effectively reduce the depth of scarring or produce an adequate reaction under the skin to help smooth the base.
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19

Topical Treatment:
Topical antibiotics may be effective for comedonal and inflammatory acne. If your condition is more severe and extensive with cysts, a brief course of systemic antbiotics would help. Adding a retinoid would add to clinical efficacy. It is important to note that long term use of antibiotics may result in microbial resistance.
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